Sánchez-Torres Luis Jair, Santos-Hernández Maricela, Carmona-Rendón Raúl, Herrera-Medina Ezequiel, Vásquez-Gutiérrez Eduardo, Nacud-Bezies Yamir
Servicio de Oncología Ortopédica, Unidad Médica de Alta Especialidad en Traumatología y Ortopedia, Centro Médico del Noreste, IMSS, Monterrey, Nuevo León, México.
Acta Ortop Mex. 2009 Jul-Aug;23(4):237-42.
Bone tumors of the pelvic area a challenge for the orthopedist surgeon. The pelvic ring has no true barriers to contain the growth of neoplasias and thus by the time patients present to us, their lesion is already quite large.
Describe the frequency of the bone tumors of the pelvis and their treatment. Any type of malignant bone tumor may occur in the bony pelvis, with the most common ones being the metastatic lesions, myeloproliferative tumors, chondrosarcoma, Ewing's sarcoma and osteosarcoma. The treatment of pelvic tumors should be individualized, but the surgeon usually has to decide between hemipelvectomy, when the limb cannot be spared, and internal hemipelvectomy.
The most important aspect of the surgery of bone tumors of the pelvis is achieving clear surgical margins. This surgery has high complication and morbidity rates.
盆腔骨肿瘤对骨科医生来说是一项挑战。骨盆环没有真正的屏障来限制肿瘤的生长,因此当患者前来就诊时,他们的病变往往已经很大。
描述骨盆骨肿瘤的发病率及其治疗方法。任何类型的恶性骨肿瘤都可能发生在骨盆骨,最常见的是转移性病变、骨髓增殖性肿瘤、软骨肉瘤、尤因肉瘤和骨肉瘤。骨盆肿瘤的治疗应个体化,但外科医生通常必须在无法保留肢体时进行半骨盆切除术和内部半骨盆切除术之间做出决定。
骨盆骨肿瘤手术最重要的方面是实现手术切缘清晰。该手术具有较高的并发症和发病率。